Department of Biomedical Engineering Jimma University, Jimma Institute of Technology
Department of Biomedical Engineering Jimma University, Jimma Institute of Technology
Department of Biomedical Engineering Jimma University, Jimma Institute of Technology
Teaching & Learning Methods Lecture, Tutorial, Laboratory Activities, term Papers, Project work,
Presentation, Assignment and Home study etc.
riming
The deairing of CPB circuit is done by priming solutions, consisting of a mixture of crystalloids and colloids.
Priming causes haemo dilution which improves flows during hypothermia. Heparin 3–4 units/ml is added to
the prime. Depending on the pre-bypass haemoglobin and priming volume, addition of external blood may be
required to maintain a target haematocrit on bypass (21%–24% in adults and 28%–30% in children). The
following equations are used.
Total circulating volume (TCV) = Patient's blood volume + priming volume
Target haematocrit (Hct) on CPB = Patient's blood volume (PBV) × Hct/TCV
Blood required on prime = (Target Hct × TCV) – (Pt. Hct × PBV)/Hct of donor blood
Cardiac index of a 70 kg adult with normal metabolism at 37°C is 2.2–2.4 L/m 2/min. For each 1°C decrease in
temperature, the required cardiac output reduces by 7%, and the pump flow can be reduced by an equivalent
factor. Knowing the body surface area (BSA) of the patient, the required pump flow is as follows:
Pump flow rate = BSA × Cardiac index
In general, turbulence occurs when disrupting forces (inertial) overcome the retaining forces (viscous). This
relationship is expressed by the Reynolds number [= (density x velocity x diameter) ÷ viscosity].
Empirically, turbulence has been found to occur in blood when this number exceeds 1,000, although
curvature, smoothness, and inlet conditions also influence its occurrence.